Final answer:
Special stipulations for the partial filling of C-II Rxs for LTC and hospice patients allow a prescription to be partially filled, with detailed record-keeping by the pharmacist, and all partial fillings must be completed within 60 days.
Step-by-step explanation:
The special stipulations for partial filling of Schedule II controlled substance prescriptions (C-II Rxs) for patients in Long Term Care (LTC) facilities and those who are receiving hospice care are provided by the Controlled Substances Act (CSA). For these patients a prescription may be partially filled if:
- It is noted on the prescription that the patient is a resident of a LTC facility or is receiving hospice care.
- The pharmacist records the date of the partial filling, quantity dispensed, remaining quantity to be dispensed and the dispensing pharmacist's identification.
- The total quantity of Schedule II medication dispensed in all partial fillings does not exceed the total quantity prescribed.
- The remaining portions of the prescription are filled within 60 days of the first partial filling.
These regulations are designed to allow for more manageable medication distribution and to address the unique needs of LTC and hospice patients while preventing diversion and maintaining control over these highly regulated medications.